Obamacare 2020 Rates and Health Insurance Providers for Green Lake County , Wisconsin


Obamacare > Rates > Wisconsin > Green Lake County

Obamacare is also known as the Affordable Care Act. This page gives you an overview of the rates for individual and family health insurance plans available from , the marketplace for Green Lake County, Wisconsin.

The health insurance rates listed below are for calendar year 2020.

Obamacare Providers, Plans and 2020 Rates for Green Lake County, Wisconsin

Below, you’ll find a summary of the 37 plans for Green Lake County, Wisconsin and rates for each of these providers. This chart is designed to give you a preview of your health insurance options.

For detailed information on available subsidies to make your coverage affordable, you must take one of the following actions:

  • Contact a licensed health insurance agent
  • Complete an application at
  • Contact the provider directly

The table below shows premiums for the following profiles at various ages:

  • Individuals
  • Couples
  • Couples with 1, 2, or 3 children
  • Individuals with 1, 2, or 3 children
  • A child alone

Each plan links to the insurance provider's website. You can find the following:

  • Summary of plan benefits and costs
  • Plan brochure
  • Provider Directory where you can find out which doctors and hospitals in the Berlin, WI area accept this insurance coverage as within the plan's network.

2020 Obamacare Rates, Providers, and Plans for Green Lake County

ADVERTISEMENT

Quartz Health Benefit Plans Corporation

Local: 1-608-644-3430 | Toll Free: 1-800-362-3310 | TTY: 1-800-877-8973

 

Silver

(HMO) Quartz One Silver I302 with Dental

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $5,000 $10,000
Maximum Out of Pocket Per Year $7,900 $15,800
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$427.80
$485.55
$546.72
$764.04
$1,161.04
$855.60
$971.10
$1,093.44
$1,528.08
$2,322.08
$1,182.86
$1,298.36
$1,420.70
$1,855.34
$1,510.12
$1,625.62
$1,747.96
$2,182.60
$1,837.38
$1,952.88
$2,075.22
$2,509.86
$755.06
$812.81
$873.98
$1,091.30
$1,082.32
$1,140.07
$1,201.24
$1,418.56
$1,409.58
$1,467.33
$1,528.50
$1,745.82
$327.26
 

Silver

(HMO) Quartz One Silver I303 with Dental

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $7,900 $15,800
Maximum Out of Pocket Per Year $7,900 $15,800
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$415.94
$472.09
$531.57
$742.86
$1,128.85
$831.88
$944.18
$1,063.14
$1,485.72
$2,257.70
$1,150.07
$1,262.37
$1,381.33
$1,803.91
$1,468.26
$1,580.56
$1,699.52
$2,122.10
$1,786.45
$1,898.75
$2,017.71
$2,440.29
$734.13
$790.28
$849.76
$1,061.05
$1,052.32
$1,108.47
$1,167.95
$1,379.24
$1,370.51
$1,426.66
$1,486.14
$1,697.43
$318.19
 

Gold

(HMO) Quartz One Gold I402 Maintenance with Dental

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $1,500 $3,000
Maximum Out of Pocket Per Year $7,900 $15,800
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$395.54
$448.94
$505.50
$706.43
$1,073.49
$791.08
$897.88
$1,011.00
$1,412.86
$2,146.98
$1,093.67
$1,200.47
$1,313.59
$1,715.45
$1,396.26
$1,503.06
$1,616.18
$2,018.04
$1,698.85
$1,805.65
$1,918.77
$2,320.63
$698.13
$751.53
$808.09
$1,009.02
$1,000.72
$1,054.12
$1,110.68
$1,311.61
$1,303.31
$1,356.71
$1,413.27
$1,614.20
$302.59
 

Gold

(HMO) Quartz One Gold I401 with Dental

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $2,000 $4,000
Maximum Out of Pocket Per Year $7,900 $15,800
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$390.47
$443.18
$499.02
$697.38
$1,059.73
$780.94
$886.36
$998.04
$1,394.76
$2,119.46
$1,079.65
$1,185.07
$1,296.75
$1,693.47
$1,378.36
$1,483.78
$1,595.46
$1,992.18
$1,677.07
$1,782.49
$1,894.17
$2,290.89
$689.18
$741.89
$797.73
$996.09
$987.89
$1,040.60
$1,096.44
$1,294.80
$1,286.60
$1,339.31
$1,395.15
$1,593.51
$298.71
 

Silver

(HMO) Quartz One Silver I301 with Dental

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $4,300 $8,600
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$429.71
$487.72
$549.17
$767.46
$1,166.23
$859.42
$975.44
$1,098.34
$1,534.92
$2,332.46
$1,188.15
$1,304.17
$1,427.07
$1,863.65
$1,516.88
$1,632.90
$1,755.80
$2,192.38
$1,845.61
$1,961.63
$2,084.53
$2,521.11
$758.44
$816.45
$877.90
$1,096.19
$1,087.17
$1,145.18
$1,206.63
$1,424.92
$1,415.90
$1,473.91
$1,535.36
$1,753.65
$328.73
 

Expanded Bronze

(HMO) Quartz One Bronze I201 with Dental

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $8,000 $16,000
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$291.99
$331.41
$373.16
$521.49
$792.45
$583.98
$662.82
$746.32
$1,042.98
$1,584.90
$807.35
$886.19
$969.69
$1,266.35
$1,030.72
$1,109.56
$1,193.06
$1,489.72
$1,254.09
$1,332.93
$1,416.43
$1,713.09
$515.36
$554.78
$596.53
$744.86
$738.73
$778.15
$819.90
$968.23
$962.10
$1,001.52
$1,043.27
$1,191.60
$223.37
 

Expanded Bronze

(HMO) Quartz One Bronze I202 with Dental

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $7,900 $15,800
Maximum Out of Pocket Per Year $7,900 $15,800
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$298.85
$339.19
$381.93
$533.74
$811.07
$597.70
$678.38
$763.86
$1,067.48
$1,622.14
$826.32
$907.00
$992.48
$1,296.10
$1,054.94
$1,135.62
$1,221.10
$1,524.72
$1,283.56
$1,364.24
$1,449.72
$1,753.34
$527.47
$567.81
$610.55
$762.36
$756.09
$796.43
$839.17
$990.98
$984.71
$1,025.05
$1,067.79
$1,219.60
$228.62
 

Silver

(HMO) Quartz One Silver I302

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $5,000 $10,000
Maximum Out of Pocket Per Year $7,900 $15,800
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$407.89
$462.94
$521.27
$728.47
$1,106.99
$815.78
$925.88
$1,042.54
$1,456.94
$2,213.98
$1,127.81
$1,237.91
$1,354.57
$1,768.97
$1,439.84
$1,549.94
$1,666.60
$2,081.00
$1,751.87
$1,861.97
$1,978.63
$2,393.03
$719.92
$774.97
$833.30
$1,040.50
$1,031.95
$1,087.00
$1,145.33
$1,352.53
$1,343.98
$1,399.03
$1,457.36
$1,664.56
$312.03
 

Silver

(HMO) Quartz One Silver I303

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $7,900 $15,800
Maximum Out of Pocket Per Year $7,900 $15,800
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$396.58
$450.11
$506.82
$708.28
$1,076.30
$793.16
$900.22
$1,013.64
$1,416.56
$2,152.60
$1,096.54
$1,203.60
$1,317.02
$1,719.94
$1,399.92
$1,506.98
$1,620.40
$2,023.32
$1,703.30
$1,810.36
$1,923.78
$2,326.70
$699.96
$753.49
$810.20
$1,011.66
$1,003.34
$1,056.87
$1,113.58
$1,315.04
$1,306.72
$1,360.25
$1,416.96
$1,618.42
$303.38
 

Gold

(HMO) Quartz One Gold I402 Maintenance

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $1,500 $3,000
Maximum Out of Pocket Per Year $7,900 $15,800
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$377.13
$428.04
$481.97
$673.55
$1,023.52
$754.26
$856.08
$963.94
$1,347.10
$2,047.04
$1,042.76
$1,144.58
$1,252.44
$1,635.60
$1,331.26
$1,433.08
$1,540.94
$1,924.10
$1,619.76
$1,721.58
$1,829.44
$2,212.60
$665.63
$716.54
$770.47
$962.05
$954.13
$1,005.04
$1,058.97
$1,250.55
$1,242.63
$1,293.54
$1,347.47
$1,539.05
$288.50
 

Gold

(HMO) Quartz One Gold I401

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $2,000 $4,000
Maximum Out of Pocket Per Year $7,900 $15,800
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$372.30
$422.55
$475.79
$664.91
$1,010.40
$744.60
$845.10
$951.58
$1,329.82
$2,020.80
$1,029.40
$1,129.90
$1,236.38
$1,614.62
$1,314.20
$1,414.70
$1,521.18
$1,899.42
$1,599.00
$1,699.50
$1,805.98
$2,184.22
$657.10
$707.35
$760.59
$949.71
$941.90
$992.15
$1,045.39
$1,234.51
$1,226.70
$1,276.95
$1,330.19
$1,519.31
$284.80
 

Silver

(HMO) Quartz One Silver I301

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $4,300 $8,600
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$409.71
$465.01
$523.60
$731.73
$1,111.94
$819.42
$930.02
$1,047.20
$1,463.46
$2,223.88
$1,132.84
$1,243.44
$1,360.62
$1,776.88
$1,446.26
$1,556.86
$1,674.04
$2,090.30
$1,759.68
$1,870.28
$1,987.46
$2,403.72
$723.13
$778.43
$837.02
$1,045.15
$1,036.55
$1,091.85
$1,150.44
$1,358.57
$1,349.97
$1,405.27
$1,463.86
$1,671.99
$313.42
 

Expanded Bronze

(HMO) Quartz One Bronze I201

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $8,000 $16,000
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$278.40
$315.98
$355.79
$497.21
$755.56
$556.80
$631.96
$711.58
$994.42
$1,511.12
$769.77
$844.93
$924.55
$1,207.39
$982.74
$1,057.90
$1,137.52
$1,420.36
$1,195.71
$1,270.87
$1,350.49
$1,633.33
$491.37
$528.95
$568.76
$710.18
$704.34
$741.92
$781.73
$923.15
$917.31
$954.89
$994.70
$1,136.12
$212.97
 

Expanded Bronze

(HMO) Quartz One Bronze I202

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $7,900 $15,800
Maximum Out of Pocket Per Year $7,900 $15,800
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$284.94
$323.40
$364.15
$508.89
$773.31
$569.88
$646.80
$728.30
$1,017.78
$1,546.62
$787.85
$864.77
$946.27
$1,235.75
$1,005.82
$1,082.74
$1,164.24
$1,453.72
$1,223.79
$1,300.71
$1,382.21
$1,671.69
$502.91
$541.37
$582.12
$726.86
$720.88
$759.34
$800.09
$944.83
$938.85
$977.31
$1,018.06
$1,162.80
$217.97
 

Gold

(HMO) Quartz One Gold I404 HSA

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $2,000 $4,000
Maximum Out of Pocket Per Year $6,650 $13,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$392.83
$445.85
$502.03
$701.58
$1,066.12
$785.66
$891.70
$1,004.06
$1,403.16
$2,132.24
$1,086.17
$1,192.21
$1,304.57
$1,703.67
$1,386.68
$1,492.72
$1,605.08
$2,004.18
$1,687.19
$1,793.23
$1,905.59
$2,304.69
$693.34
$746.36
$802.54
$1,002.09
$993.85
$1,046.87
$1,103.05
$1,302.60
$1,294.36
$1,347.38
$1,403.56
$1,603.11
$300.51
 

Expanded Bronze

(HMO) Quartz One Bronze I203 HSA

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,750 $13,500
Maximum Out of Pocket Per Year $6,750 $13,500
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$288.98
$327.98
$369.31
$516.10
$784.27
$577.96
$655.96
$738.62
$1,032.20
$1,568.54
$799.02
$877.02
$959.68
$1,253.26
$1,020.08
$1,098.08
$1,180.74
$1,474.32
$1,241.14
$1,319.14
$1,401.80
$1,695.38
$510.04
$549.04
$590.37
$737.16
$731.10
$770.10
$811.43
$958.22
$952.16
$991.16
$1,032.49
$1,179.28
$221.06
 

Catastrophic

(HMO) Quartz One Catastrophic I101

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $8,150 $16,300
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$212.08
$240.71
$271.04
$378.77
$575.58
$424.16
$481.42
$542.08
$757.54
$1,151.16
$586.40
$643.66
$704.32
$919.78
$748.64
$805.90
$866.56
$1,082.02
$910.88
$968.14
$1,028.80
$1,244.26
$374.32
$402.95
$433.28
$541.01
$536.56
$565.19
$595.52
$703.25
$698.80
$727.43
$757.76
$865.49
$162.24
 

Silver

(HMO) Quartz One Silver I304 HSA

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $5,250 $10,500
Maximum Out of Pocket Per Year $5,250 $10,500
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$429.33
$487.29
$548.68
$766.78
$1,165.20
$858.66
$974.58
$1,097.36
$1,533.56
$2,330.40
$1,187.10
$1,303.02
$1,425.80
$1,862.00
$1,515.54
$1,631.46
$1,754.24
$2,190.44
$1,843.98
$1,959.90
$2,082.68
$2,518.88
$757.77
$815.73
$877.12
$1,095.22
$1,086.21
$1,144.17
$1,205.56
$1,423.66
$1,414.65
$1,472.61
$1,534.00
$1,752.10
$328.44
 

Gold

(HMO) Quartz One Gold I403 HSA

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $3,000 $6,000
Maximum Out of Pocket Per Year $3,000 $6,000
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$396.30
$449.79
$506.46
$707.78
$1,075.53
$792.60
$899.58
$1,012.92
$1,415.56
$2,151.06
$1,095.76
$1,202.74
$1,316.08
$1,718.72
$1,398.92
$1,505.90
$1,619.24
$2,021.88
$1,702.08
$1,809.06
$1,922.40
$2,325.04
$699.46
$752.95
$809.62
$1,010.94
$1,002.62
$1,056.11
$1,112.78
$1,314.10
$1,305.78
$1,359.27
$1,415.94
$1,617.26
$303.16

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Dean Health Plan

Local: 1-608-828-1302 | Toll Free: 1-800-279-1302 | TTY: 1-800-947-3529

 

Catastrophic

(HMO) Dean Catastrophic Safety Net

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $8,150 $16,300
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$187.75
$213.10
$239.95
$335.33
$509.56
$375.50
$426.20
$479.90
$670.66
$1,019.12
$519.13
$569.83
$623.53
$814.29
$662.76
$713.46
$767.16
$957.92
$806.39
$857.09
$910.79
$1,101.55
$331.38
$356.73
$383.58
$478.96
$475.01
$500.36
$527.21
$622.59
$618.64
$643.99
$670.84
$766.22
$143.63
 

Silver

(HMO) Dean Silver Copay Plus 4400X

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $4,400 $8,800
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$364.30
$413.48
$465.57
$650.64
$988.71
$728.60
$826.96
$931.14
$1,301.28
$1,977.42
$1,007.29
$1,105.65
$1,209.83
$1,579.97
$1,285.98
$1,384.34
$1,488.52
$1,858.66
$1,564.67
$1,663.03
$1,767.21
$2,137.35
$642.99
$692.17
$744.26
$929.33
$921.68
$970.86
$1,022.95
$1,208.02
$1,200.37
$1,249.55
$1,301.64
$1,486.71
$278.69
 

Silver

(HMO) Dean Silver Classic 5000X

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $5,000 $10,000
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$353.21
$400.90
$451.41
$630.84
$958.62
$706.42
$801.80
$902.82
$1,261.68
$1,917.24
$976.63
$1,072.01
$1,173.03
$1,531.89
$1,246.84
$1,342.22
$1,443.24
$1,802.10
$1,517.05
$1,612.43
$1,713.45
$2,072.31
$623.42
$671.11
$721.62
$901.05
$893.63
$941.32
$991.83
$1,171.26
$1,163.84
$1,211.53
$1,262.04
$1,441.47
$270.21
 

Silver

(HMO) Dean Silver Value Copay 5000X

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $5,000 $10,000
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$361.83
$410.68
$462.42
$646.23
$982.01
$723.66
$821.36
$924.84
$1,292.46
$1,964.02
$1,000.46
$1,098.16
$1,201.64
$1,569.26
$1,277.26
$1,374.96
$1,478.44
$1,846.06
$1,554.06
$1,651.76
$1,755.24
$2,122.86
$638.63
$687.48
$739.22
$923.03
$915.43
$964.28
$1,016.02
$1,199.83
$1,192.23
$1,241.08
$1,292.82
$1,476.63
$276.80
 

Gold

(HMO) Dean Gold Value Copay 3700X

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $3,700 $7,400
Maximum Out of Pocket Per Year $3,700 $7,400
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$355.65
$403.66
$454.52
$635.19
$965.23
$711.30
$807.32
$909.04
$1,270.38
$1,930.46
$983.37
$1,079.39
$1,181.11
$1,542.45
$1,255.44
$1,351.46
$1,453.18
$1,814.52
$1,527.51
$1,623.53
$1,725.25
$2,086.59
$627.72
$675.73
$726.59
$907.26
$899.79
$947.80
$998.66
$1,179.33
$1,171.86
$1,219.87
$1,270.73
$1,451.40
$272.07
 

Bronze

(HMO) Dean Bronze Value Copay 8100X

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $8,100 $16,200
Maximum Out of Pocket Per Year $8,100 $16,200
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$250.44
$284.24
$320.06
$447.28
$679.68
$500.88
$568.48
$640.12
$894.56
$1,359.36
$692.46
$760.06
$831.70
$1,086.14
$884.04
$951.64
$1,023.28
$1,277.72
$1,075.62
$1,143.22
$1,214.86
$1,469.30
$442.02
$475.82
$511.64
$638.86
$633.60
$667.40
$703.22
$830.44
$825.18
$858.98
$894.80
$1,022.02
$191.58
 

Silver

(HMO) Dean Silver HSA-E 4000X

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $4,000 $8,000
Maximum Out of Pocket Per Year $6,750 $13,500
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$348.07
$395.06
$444.83
$621.65
$944.66
$696.14
$790.12
$889.66
$1,243.30
$1,889.32
$962.41
$1,056.39
$1,155.93
$1,509.57
$1,228.68
$1,322.66
$1,422.20
$1,775.84
$1,494.95
$1,588.93
$1,688.47
$2,042.11
$614.34
$661.33
$711.10
$887.92
$880.61
$927.60
$977.37
$1,154.19
$1,146.88
$1,193.87
$1,243.64
$1,420.46
$266.27
 

Gold

(HMO) Dean Gold Copay Plus 1500X

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $1,500 $3,000
Maximum Out of Pocket Per Year $4,000 $8,000
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$372.23
$422.49
$475.72
$664.81
$1,010.24
$744.46
$844.98
$951.44
$1,329.62
$2,020.48
$1,029.22
$1,129.74
$1,236.20
$1,614.38
$1,313.98
$1,414.50
$1,520.96
$1,899.14
$1,598.74
$1,699.26
$1,805.72
$2,183.90
$656.99
$707.25
$760.48
$949.57
$941.75
$992.01
$1,045.24
$1,234.33
$1,226.51
$1,276.77
$1,330.00
$1,519.09
$284.76
 

Expanded Bronze

(HMO) Dean Bronze HSA-E 6700X

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,700 $13,400
Maximum Out of Pocket Per Year $6,700 $13,400
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$248.44
$281.98
$317.51
$443.72
$674.28
$496.88
$563.96
$635.02
$887.44
$1,348.56
$686.94
$754.02
$825.08
$1,077.50
$877.00
$944.08
$1,015.14
$1,267.56
$1,067.06
$1,134.14
$1,205.20
$1,457.62
$438.50
$472.04
$507.57
$633.78
$628.56
$662.10
$697.63
$823.84
$818.62
$852.16
$887.69
$1,013.90
$190.06
 

Expanded Bronze

(HMO) Dean Bronze Copay Plus 8100X

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $8,100 $16,200
Maximum Out of Pocket Per Year $8,100 $16,200
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$256.71
$291.36
$328.07
$458.48
$696.70
$513.42
$582.72
$656.14
$916.96
$1,393.40
$709.80
$779.10
$852.52
$1,113.34
$906.18
$975.48
$1,048.90
$1,309.72
$1,102.56
$1,171.86
$1,245.28
$1,506.10
$453.09
$487.74
$524.45
$654.86
$649.47
$684.12
$720.83
$851.24
$845.85
$880.50
$917.21
$1,047.62
$196.38

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Molina Healthcare of Wisconsin, Inc.

Local: 1-888-560-2043 | Toll Free: 1-888-560-2043

 

Gold

(HMO) Confident Care Gold 1

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $2,925 $5,850
Maximum Out of Pocket Per Year $6,000 $12,000
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$379.44
$430.66
$484.92
$677.67
$1,029.79
$758.88
$861.32
$969.84
$1,355.34
$2,059.58
$1,049.15
$1,151.59
$1,260.11
$1,645.61
$1,339.42
$1,441.86
$1,550.38
$1,935.88
$1,629.69
$1,732.13
$1,840.65
$2,226.15
$669.71
$720.93
$775.19
$967.94
$959.98
$1,011.20
$1,065.46
$1,258.21
$1,250.25
$1,301.47
$1,355.73
$1,548.48
$290.27
 

Silver

(HMO) Constant Care Silver 1

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,000 $12,000
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$364.91
$414.18
$466.36
$651.74
$990.38
$729.82
$828.36
$932.72
$1,303.48
$1,980.76
$1,008.98
$1,107.52
$1,211.88
$1,582.64
$1,288.14
$1,386.68
$1,491.04
$1,861.80
$1,567.30
$1,665.84
$1,770.20
$2,140.96
$644.07
$693.34
$745.52
$930.90
$923.23
$972.50
$1,024.68
$1,210.06
$1,202.39
$1,251.66
$1,303.84
$1,489.22
$279.16
 

Bronze

(HMO) Core Care Bronze 1

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,800 $13,600
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$270.92
$307.50
$346.24
$483.87
$735.29
$541.84
$615.00
$692.48
$967.74
$1,470.58
$749.10
$822.26
$899.74
$1,175.00
$956.36
$1,029.52
$1,107.00
$1,382.26
$1,163.62
$1,236.78
$1,314.26
$1,589.52
$478.18
$514.76
$553.50
$691.13
$685.44
$722.02
$760.76
$898.39
$892.70
$929.28
$968.02
$1,105.65
$207.26
 

Gold

(HMO) Confident Care Gold 1 + Vision

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $2,925 $5,850
Maximum Out of Pocket Per Year $6,000 $12,000
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$382.38
$434.00
$488.68
$682.93
$1,037.77
$764.76
$868.00
$977.36
$1,365.86
$2,075.54
$1,057.28
$1,160.52
$1,269.88
$1,658.38
$1,349.80
$1,453.04
$1,562.40
$1,950.90
$1,642.32
$1,745.56
$1,854.92
$2,243.42
$674.90
$726.52
$781.20
$975.45
$967.42
$1,019.04
$1,073.72
$1,267.97
$1,259.94
$1,311.56
$1,366.24
$1,560.49
$292.52
 

Silver

(HMO) Constant Care Silver 1 + Vision

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,000 $12,000
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$367.93
$417.60
$470.21
$657.12
$998.56
$735.86
$835.20
$940.42
$1,314.24
$1,997.12
$1,017.33
$1,116.67
$1,221.89
$1,595.71
$1,298.80
$1,398.14
$1,503.36
$1,877.18
$1,580.27
$1,679.61
$1,784.83
$2,158.65
$649.40
$699.07
$751.68
$938.59
$930.87
$980.54
$1,033.15
$1,220.06
$1,212.34
$1,262.01
$1,314.62
$1,501.53
$281.47
 

Bronze

(HMO) Core Care Bronze 1 + Vision

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,800 $13,600
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$273.87
$310.84
$350.00
$489.13
$743.27
$547.74
$621.68
$700.00
$978.26
$1,486.54
$757.25
$831.19
$909.51
$1,187.77
$966.76
$1,040.70
$1,119.02
$1,397.28
$1,176.27
$1,250.21
$1,328.53
$1,606.79
$483.38
$520.35
$559.51
$698.64
$692.89
$729.86
$769.02
$908.15
$902.40
$939.37
$978.53
$1,117.66
$209.51
 

Silver

(HMO) Constant Care Silver 2

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $6,500 $13,000
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$353.63
$401.37
$451.94
$631.59
$959.76
$707.26
$802.74
$903.88
$1,263.18
$1,919.52
$977.79
$1,073.27
$1,174.41
$1,533.71
$1,248.32
$1,343.80
$1,444.94
$1,804.24
$1,518.85
$1,614.33
$1,715.47
$2,074.77
$624.16
$671.90
$722.47
$902.12
$894.69
$942.43
$993.00
$1,172.65
$1,165.22
$1,212.96
$1,263.53
$1,443.18
$270.53
 

Bronze

(HMO) Core Care Bronze 2

Annual Out of Pocket Expenses
Individual Family
Annual Deductible $8,000 $16,000
Maximum Out of Pocket Per Year $8,150 $16,300
Monthly Premiums:
Age Individual
Couple
Couple
1 Child
Couple
2 Chidren
Couple
3+ Children
Individual
1 Child
Individual
2 Children
Individual
3+ Children
Child
0-14
21
30
40
50
60
$258.20
$293.06
$329.98
$461.15
$700.76
$516.40
$586.12
$659.96
$922.30
$1,401.52
$713.93
$783.65
$857.49
$1,119.83
$911.46
$981.18
$1,055.02
$1,317.36
$1,108.99
$1,178.71
$1,252.55
$1,514.89
$455.73
$490.59
$527.51
$658.68
$653.26
$688.12
$725.04
$856.21
$850.79
$885.65
$922.57
$1,053.74
$197.53

‡Source: HealthCare.gov has released sample rates for all counties in the 36 states served by HealthCare.gov. We have integrated that data into our tables and provide you that information for Green Lake County here.

Green Lake County is in “Rating Area 15” of Wisconsin.

Currently, there are 37 plans offered in Rating Area 15.

Ashland County Ashland County Bayfield County Ashland County Douglas County Ashland County Iron County Vilas County Burnett County Washburn County Sawyer County Forest County Florence County Price County Oneida County Marinette County Polk County Barron County Rusk County Lincoln County Langlade County Door County Taylor County Oconto County Door County Chippewa County St. Croix County Dunn County Marathon County Menominee County Marinette County Clark County Shawano County Pierce County Eau Claire County Pepin County Kewaunee County Brown County Wood County Portage County Waupaca County Buffalo County Trempealeau County Jackson County Outagamie County Manitowoc County Juneau County Calumet County Winnebago County Adams County Waushara County Monroe County La Crosse County Green Lake County Marquette County Fond du Lac County Sheboygan County Vernon County Columbia County Sauk County Dodge County Richland County Ozaukee County Washington County Crawford County Dane County Grant County Iowa County Milwaukee County Waukesha County Jefferson County Green County Racine County Walworth County Rock County Lafayette County Kenosha County Kenosha County

Obamacare Rates and Providers for Other Years

2014 | 2015 | 2016| 2017 | 2018 | 2019

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